Individual
RONALD PACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1225 E WEISGARBER RD STE 200, KNOXVILLE, TN 37909-2675
(865) 584-4747
(865) 212-3718
Mailing address
9333 PARKWEST BOULEVARD, KNOXVILLE, TN 37923
(865) 531-4600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
07786
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3158311
—
TN
Enumeration date
06/20/2006
Last updated
07/08/2007
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